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ALL RIGHTS RESERVED.
N5350 Legal Parameters Exam Questions
With Verified Answers
1. What are the 4 settings for prescriptive authority? Describe the requirements in each setting
for physician supervision, # of NPs, chart review, and any other special requirements in that site.
- Answers✔1. Medically Underserved
2. Physician Primary Site
3. Physician Alternate Site
4. Facility Based Practice Site.
* General requirements per TBON rule 222.5: regular visits, chart review as determined by
APRN & physician, periodic face to face meeting of APRN & physician to discuss pt care &
improvement.
1a) Medically Underserved - Answers✔*site must be official, physician must be reachable by
phone & must be provided with daily status report of any major problems outside of the protocol.
*must have protocols.
1b) Physician Primary Practice Site - Answers✔* Must have protocols.
*Sign drug orders only for pts whom the MD has/will establish a relationship.
*alternate MD may delegate.
*MD may delegate to no more than 7 APNS or PAs.
*Physician on-site visits should be 50% of the time according to BME.
1c) Facility Based Practice - Answers✔*Must be physically present in facility (hospital or long
term facility).
*Physician must give prior consent.
*Delegation only at > one hospital or > 2 long term care facilities - now it is 7 FTEs.
*Long term care-only 4 APNs (APRNs) or 4 PAs or their FTE equivalent - now it is 7 FTE &
approved by Chief Physician of Facility.
ALL RIGHTS RESERVED.
N5350 Legal Parameters Exam Questions
With Verified Answers
1. What are the 4 settings for prescriptive authority? Describe the requirements in each setting
for physician supervision, # of NPs, chart review, and any other special requirements in that site.
- Answers✔1. Medically Underserved
2. Physician Primary Site
3. Physician Alternate Site
4. Facility Based Practice Site.
* General requirements per TBON rule 222.5: regular visits, chart review as determined by
APRN & physician, periodic face to face meeting of APRN & physician to discuss pt care &
improvement.
1a) Medically Underserved - Answers✔*site must be official, physician must be reachable by
phone & must be provided with daily status report of any major problems outside of the protocol.
*must have protocols.
1b) Physician Primary Practice Site - Answers✔* Must have protocols.
*Sign drug orders only for pts whom the MD has/will establish a relationship.
*alternate MD may delegate.
*MD may delegate to no more than 7 APNS or PAs.
*Physician on-site visits should be 50% of the time according to BME.
1c) Facility Based Practice - Answers✔*Must be physically present in facility (hospital or long
term facility).
*Physician must give prior consent.
*Delegation only at > one hospital or > 2 long term care facilities - now it is 7 FTEs.
*Long term care-only 4 APNs (APRNs) or 4 PAs or their FTE equivalent - now it is 7 FTE &
approved by Chief Physician of Facility.
